TY  - JOUR
AU  - Xie, Catherine
AU  - Azubike, Nkechi
AU  - Buckner, Jennifer
AU  - Abraham, Lovely
AU  - Moseley, Michelle
AU  - Powers, James
PY  - 2018
DA  - 2018/08/13
TI  - Implementation of a Geriatric Patient-Centered Medical Home: the Geriatric Patient – Aligned Care Team (<i>GeriPACT</i>)
JO  - OBM Geriatrics
SP  - 008
VL  - 02
IS  - 03
AB  - Abstract

Context
A Veterans Health Administration (VHA) patient centered medical home, the Geriatric Patient-Aligned Care Team (GeriPACT).

Methods 
Plan-Do-Study-Act (PDSA) cycles regarding strategy, resource development, patient and caregiver experience of care, and clinical care process improvement. Stakeholder engagement for half-time operation with initial grant support for personnel who also had collateral duties. Tracking of operations data.

Results
The clinic population grew from 200 to 627 over a 7-year period. GeriPACT patients were frail with multiple co-morbidities, including a mean age 84, a 19.4% yearly hospitalization rate, and 12.2% died yearly.  Collaborative team management of these complex patients reduced mean number of outpatient medications from 11 to 9, and the 30-day rehospitalization rate was 10%, approximately half the facility’s rate.  Estimated yearly cost avoidance for GeriPACT was $1,963,243.  Implementation of GeriPACT is impacted by limited availability of trained providers.

Conclusion
GeriPACT may be a cost-effective way to manage high-risk, high-need elderly patients.  GeriPACT expansion and implementation in all facilities has been made part of the VHA regional strategic plan.
SN  - 2638-1311
UR  - https://doi.org/10.21926/obm.geriatr.1803008
DO  - 10.21926/obm.geriatr.1803008
ID  - Xie2018
ER  -